Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134565807 Individual Practitioner Male Practitioner

Dr. Aaron R Mulyadi , DMD

Dentist • Atlanta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Aaron Mulyadi, DMD is a registered healthcare professional specializing in Dentist in Atlanta, GA. Practice services are available at 699 PONCE DE LEON AVE NE STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

699 Ponce De Leon Ave Ne Ste 1

Atlanta, GA 303081800

Telephone 6782214954
Associated Practice Facility / Clinic
🏢 Ponce Dental Group, Pc Facility NPI 1821657156

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Atlanta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 40.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
233 Specialists

Practicing in Atlanta, GA (2164 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-05-10
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License GA DN123363

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License MA DN1856246

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Harjaap Singh , DMD

Dentist - General Practice

NPI 1780255786

Doctor of Dental Medicine

Dr. Breanna Mcintosh , DMD

Dentist - General Practice

NPI 1811811581

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 10, 2024

Registered at 699 PONCE DE LEON AVE NE STE 1, ATLANTA, GA 303081800 (Tel: 6782214954)

📍
Updated Business Mailing Address May 10, 2024

Registered at 1160 MCKENDREE PARK LN, LAWRENCEVILLE, GA 300437062 (Tel: 4043745353)

NPI Profile Active May 21, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2013

Registered at 42 BEACH ST, UNIT 8C, BOSTON, MA 021112056 (Tel: 8572440354)

📍
Updated Business Mailing Address May 21, 2013

Registered at 42 BEACH ST, UNIT 8C, BOSTON, MA 021112056 (Tel: 8572440354)

👤
Provider Name / Credentials Updated May 21, 2013

Recorded as AARON MULYADI, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2013

Dentist (License #DN1856246 in MA)

🟢
Initial NPI Registration & Enumeration May 21, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134565807
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2013
Last Update: May 10, 2024
Sole Proprietor: Yes

Mailing Address

1160 Mckendree Park Ln

Lawrenceville, GA 300437062

Phone: 4043745353

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.